Objective To summarize the preliminary experience of Altemeier-like procedure for the treatment of stomal prolapse,and to explore a safe,simple,and effective surgical treatment for stomal prolapse.Methods The general clinical data,surgical situation,and curative effect of 6 patients with stomal prolapse who underwent Altemeier-like procedure in Department of Gastrointestinal Surgery,Xijing Hospital in the past 10 years were retrospectively analyzed.Results Six patients with stomal prolapse underwent Altemeier-like procedure for prolapse resection and stomal reconstruction.The operative time was 25-50 min,and the intraoperative blood loss was 5-10 mL.Postoperative mucosal bleeding of the reconstructed stoma was conservatively cured in 1 case,and no postoperative complications occurred in other cases.The hospital stay was 2-5 d after surgery.There was no recurrence at 4-,12-and 24-month follow-up via telephone.Conclusion Altemeier-like procedure for stomal prolapse is safe,effective,and minimally invasive,with a low recurrence rate.It is particularly suitable for elderly patients with complex underlying diseases,advanced tumors,or with severe malnutrition,who are vulnerable to surgery and anesthesia.
关键词
类Altemeier手术/肠造口脱垂/直肠癌
Key words
Altemeier-like procedure/stomal prolapse/rectal cancer
维普
万方数据